Trixie Cabiles
Yonkers,NY
Summary
Results-driven professional specializing in revenue cycle management, billing, denial resolution, and reimbursement strategies across Managed Care, Medicare, and Medicaid. Proven track record of achieving 99%+ claim payment rates, reducing claim denials, streamlining billing workflows, and enhancing claims processing efficiency. Expertise in payer negotiations, regulatory compliance, and process improvement, ensuring optimal collections and cash flow management. Skilled in staff training, interdepartmental coordination, and financial reporting, driving workflow efficiency and revenue growth.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Accounts Receivable Supervisor
The New Jewish Home
09.2023 - Current
- Managed a $10 million A/R portfolio, achieving a 99%+ claim payment rate by overseeing billing, denial resolution, and collections across Managed Care, Medicare, and Medicaid, with a specialty in Managed Care reimbursement and contract compliance.
- Decreased claim rejection rates by 95% and increased collections by 25% by identifying billing inefficiencies, implementing corrective actions, and optimizing revenue cycle workflows.
- Collaborated with 30+ physicians, department heads, and revenue cycle teams to enhance reimbursement processes, minimize delays, and improve financial performance.
- Led a team of 7 A/R specialists, improving claim turnaround time by 15+ days and increasing first-pass resolution rates through process improvements and staff training.
- Strengthened payer relationships, leading new initiatives to negotiate reimbursement solutions, streamline claim submissions, resolve payment discrepancies, and reduce denials through proactive engagement and contract compliance strategies.
- Ensured 100% compliance with CMS, Medicaid, and state regulations, maintaining audit readiness, minimizing financial risks, and improving patient satisfaction through strict adherence to reimbursement policies.
Administrative Coordinator
White Plains Hospital
05.2022 - 06.2023
- Trained and mentored 10+ new patient registrars and peers, ensuring proficiency in the admitting department, addressing staff concerns, and improving team morale, resulting in a more efficient and collaborative work environment.
- Analyzed and improved revenue cycle workflows, increasing team efficiency by 40% and saving 15 hours per week, leading to faster patient processing, enhanced physician satisfaction, and stronger payer relationships.
- Streamlined insurance claims documentation and submission processes, improving accuracy by 50% and reducing rework by 75%, resulting in quicker reimbursements and improved cash flow management.
- Managed patient room assignments and transfers, ensuring optimal resource utilization, service coordination, and timely resolution of patient flow issues, especially during high-demand periods.
- Acted as a liaison between clinical staff, billing teams, and payers, ensuring seamless communication, improved claim resolution, and adherence to contract requirements.
- Mentored and coached employees, fostering professional growth and skill development, leading to improved individual performance and positive evaluations from senior leadership.
Medical Records Supervisor
Regency Extended Care Center
12.2019 - 06.2021
- Supervised a team of 7 employees, optimizing work schedules, improving staff performance through coaching and appraisals, and ensuring efficient medical records management.
- Reduced monthly supply expenses by 50% by streamlining inventory control, eliminating excess costs, and improving procurement strategies, enhancing facility profitability.
- Managed and processed inpatient discharges for a 315-bed facility, ensuring accurate documentation, HIPAA compliance, and the secure handling of confidential patient records.
- Developed and implemented staff training programs, improving adherence to medical records policies, enhancing compliance with state and federal regulations, and fostering a collaborative work environment.
- Oversaw daily operations of the medical records department, acting as the key liaison between staff and leadership to ensure smooth workflow, regulatory compliance, and timely record retrieval.
Education
Bachelor of Science - Health Services Administration
Lehman College
Bronx, NY12-2024
Skills
- Revenue Cycle & Billing (insurance claims, reimbursement, denial management)
- Regulatory Compliance (Medicare, Medicaid, HIPAA, Joint Commission)
- Health Information Systems (HIS) & EMR/EHR (EPIC, PCC, Sigma)
- Clearinghouses & Payer Portals (claim submissions, payment reconciliation, issue resolution)
- Staff Supervision & Training (coaching, performance evaluations, team leadership)
- Workflow Optimization & Process Improvement
- Data Analysis & Reporting (trend tracking, efficiency monitoring)
- Interdepartmental Coordination (liaison between staff, leadership, and agencies)
- Microsoft Office Suite (Excel, Word, Outlook)
Certification
Certified Revenue Cycle Representative (CRCR)
HFMA
Timeline
Accounts Receivable Supervisor
The New Jewish Home
09.2023 - Current
Administrative Coordinator
White Plains Hospital
05.2022 - 06.2023
Medical Records Supervisor
Regency Extended Care Center
12.2019 - 06.2021
Certified Revenue Cycle Representative (CRCR)
HFMA
Bachelor of Science - Health Services Administration
Lehman College
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